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Dauphin Vet Clinic

1801 Main Street South, Dauphin MB

Monday to Friday 8:30am - 5:00pm

(204) 638-3044

contactus@dauphinvetclinic.com

Ste Rose Vet Clinic

15 Tucker Street, Ste Rose du Lac MB

Monday to Friday 8:30am - 5:00pm

(204) 447-2701

contactus@sterosevetclinic.com

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Rabbit Surgery Consent Form

Please complete the following form to the best of your ability and return it to us 24 hours before your rabbits’s scheduled appointment.

Owner's First Name

Last Name

Address

City

Province

Postal Code

Email

Rabbit's Name

Date Booked for Surgery

Primary Phone Number (s)

Will you be reachable at this number on surgery day?

Yes

No

Phone number(s) I can be reached:

Type of Surgery Booked

Continue if pregnant?

Yes, continue with spay and terminate the pregnancy

No, do not spay (surgery costs will still be charged)

Procedure:

The Dauphin and Ste Rose vet clinics are located on Treaty No. 2 Territory, the traditional lands of Anishinaabeg, Cree, Oji-Cree, Assiniboine, Dakota & Dene Peoples, and homeland of the Métis Nation

©2023 by Dauphin - Ste Rose Veterinary Clinic

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